"The scientific evidence to link latent TB, active TB disease, and multi sectoral response towards ending latent TB and TB" presentation is of senior researcher, epidemiologist, and public health expert Dr Artawan Eka Putra, made at the National Media Workshop on "Reporting using #OneHealth approach on health and development issues" hosted by CNS (Citizen News Service), Asia Pacific Media Alliance for Health and Development (APCAT Media), Asia Pacific Cities Alliance for Health and Development (APCAT), and partners in Bali, Indonesia. For more details, check out www.citizen-news.org or email editor@citizen-news.org Thanks CNS team

1. The Scientific Link Between TB
(latent TB and active TB disease)
IWG Artawan Eka Putra
gedeartawan@unud.ac.id

2. TB in Indonesia (based on global TB report 2022)
969.000 new cases
per year

3. Tuberculosis Natural History and The Risk Factors
Agent concentration
Closeness
Contact duration
Environment factors
(ventilation, density,
UV, humidity)
Behavior (mobility)
Characteristic (age, sex, occupation
Immune system status
Comorbidity
(HIV, DM, immunocompromised)
Undernourish
Behavior (Smoking, alcohol c)
Characteristic (age, sex, occupation
Immune system status
Comorbidity
(HIV, DM, immunocompromised)
Undernourish
Behavior (Smoking, alcohol c)
Diagnosis and treatment delay
Treatment adherence
Under treatment
Behavior (Smoking, alcohol c)
Treatment adherence
Under treatment
Behavior (Smoking, alcohol c)
DR TB

4. Spectrum of tuberculosis infection and disease

5. The Concept of Prevention
• Risk Factors Elimination
• TOSS TBC
• Temukan (Case findings)
• Obati sampai sembuh (Adequate treatment)

6. Challenges
• Reaching high-risk populations
• Treatment adherence
• Stigma and discrimination of people with TB
“We cannot effectively fight TB without reaching all the people who
need to hear messages about TB prevention, symptoms, and treatment
and action them.”

7. Thank You
Terimakasih